Implementing and managing intrathecal pumps

The use of intrathecal therapy is associated with increase quality of analgesia and a decrease in side effects in patients who have not tolerated oral pharmacological therapy AND have had a successful epidural trial. Steps to achieve a high degree of success are delineated in this article, including...

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Bibliographic Details
Published in:Techniques in regional anesthesia & pain management 2011-10, Vol.15 (4), p.155-157
Main Author: de Leon-Casasola, Oscar A., MD
Format: Article
Language:English
Subjects:
Anesthesia & Perioperative Care
Bupivacaine
Clonidine
Intrathecal therapy
Opioids
Pain Medicine
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Summary:The use of intrathecal therapy is associated with increase quality of analgesia and a decrease in side effects in patients who have not tolerated oral pharmacological therapy AND have had a successful epidural trial. Steps to achieve a high degree of success are delineated in this article, including ideal catheter tip position, indication and use of medications for the infusion, rate of infusion, etc. Moreover, recommendations to follow before and after a myelogram through the pump are given.
ISSN:1084-208X
1558-4534
DOI:10.1053/j.trap.2011.10.004